MEDICARE: DR. JOSE AZARCON JR. D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	985812-1204	UT

General Provider Information

NPI Number	:	1285627455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE AZARCON JR. D.O.

Provider Business Mailing Address
First Line	:	6360 S 3000 E
Second Line	:	STE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6923
Country	:	US
Telephone Number	:	801-365-1032
Fax Number	:	801-365-1036

Provider Business Practice Location Address
First Line	:	6360 S 3000 E
Second Line	:	STE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6923
Country	:	US
Telephone Number	:	801-365-1032
Fax Number	:	801-365-1036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	02/03/2014

Similar Medicare Providers

1902868177 — FOOTHILL FAMILY CLINC INC.
Practice Location Address:

6360 S 3000 E , SUITE 100
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-365-1032
Practice Fax: 801-365-1033

1962443465 — OSCAR A BATISTA M.D.
Practice Location Address:

6360 S 3000 E , STE 310
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-944-3144
Practice Fax: 901-944-3186

1164465647 — ROBERT G. JONES M.D.
Practice Location Address:

6360 S 3000 E , #310
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-944-3189
Practice Fax: 801-944-3180

1124055710 — DIANA GRAZULIS MD
Practice Location Address:

6360 S 3000 E , STE 100
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-365-1032
Practice Fax: 801-365-1033

1780619023 — THOMAS K. CONNER MD
Practice Location Address:

6360 S 3000 E , STE 100
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-365-1032
Practice Fax: 801-365-1033

1396770533 — GINA B. COX MD
Practice Location Address:

6360 S 3000 E , STE 100
SALT LAKE CITY, UT
84121-6923

Practice Phone: 801-365-1032
Practice Fax: 801-365-1033

Directions to “ DR. JOSE AZARCON JR. D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.